Please use this identifier to cite or link to this item: http://hdl.handle.net/1843/82192
Type: Artigo de Periódico
Title: Does photobiomodulation therapy improve the postoperative outcomes of tonsillectomy? a systematic review and meta-analysis
Authors: José Alcides Almeida de Arruda
Gerhilde Callou Sampaio
Ana Carolina Velasco Pondé de Sena
Lauren Frenzel Schuch
Jaziel Pereira Ribeiro
Manoela Domingues Martins
Tarcília Aparecida da Silva
Ricardo Alves de Mesquita
Lucas Guimarães Abreu
Abstract: Introduction: Postoperative management of patients undergoing tonsillectomy is challenging. Photobiomodulation therapy (PBMT) has emerged as a new tool providing therapeutic benefits. However, the contribution of PBMT to the postoperative outcomes of tonsillectomy is still undefined. This systematic review and meta-analysis evaluated the published literature addressing the effects of PBMT on post-tonsillectomy. Methods: Searches in Scopus, PubMed/MEDLINE, Embase, Web of Science, Cochrane Library, and grey literature were carried out for the identification of randomised controlled trials reported up to August/2021. The risk of bias with the Cochrane Collaboration tool and meta-analysis was performed. Outcomes were assessed with the Kaplan-Meier method and the log-rank test. Results: A total of 1183 articles were retrieved, of which only two were included for qualitative and quantitative analysis. The wavelengths were 685 nm and 980 nm with energy density set at 4 J/cm2. The mandibular angle and the surgical wound were the sites of laser irradiation. Individuals who had not undergone PBMT after tonsillectomy were more likely to report pain and odynophagia in the first 24 hours after surgery than individuals who had undergone PBMT after tonsillectomy (P<0.001). Children who received PBMT after tonsillectomy were equally affected by pain and odynophagia in the first seven days after surgery compared to children who had not undergone PBMT after tonsillectomy (P>0.05). However, both studies found a significant association of PBMT with reduced analgesic consumption. Conclusion: Although PBMT seems promising for the management of individuals undergoing tonsillectomy, a limited number of studies are available in the literature.
Subject: Low-level light therapy
Systematic review
Tonsillectomy
Complementary therapies
Pain
Association
Lasers
Analgesics
Clinical trial
Network meta-analysis as topic
Evaluation study
language: eng
metadata.dc.publisher.country: Brasil
Publisher: Universidade Federal de Minas Gerais
Publisher Initials: UFMG
metadata.dc.publisher.department: FAO - DEPARTAMENTO DE CLÍNICA
FAO - DEPARTAMENTO DE ODONTOPEDIATRIA E ORTODONTIA
Rights: Acesso Aberto
metadata.dc.identifier.doi: https://doi.org/10.34172/jlms.2022.07
URI: http://hdl.handle.net/1843/82192
Issue Date: 2022
metadata.dc.url.externa: https://journals.sbmu.ac.ir/jlms/article/view/34654
metadata.dc.relation.ispartof: Journal of Lasers in Medical Sciences
Appears in Collections:Artigo de Periódico



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